Appropriate Dose of Fentanyl for the Prevention of Emergence Agitation after Sevoflurane Anesthesia in Pediatric Patients undergoing Tonsillectomy.
10.4097/kjae.2004.47.3.317
- Author:
Hee Cheol JIN
1
;
Se Jin LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital, Bucheon, Korea. jhc0503@schbc.ac.kr
- Publication Type:Original Article
- Keywords:
agitation;
emergence;
fentanyl;
pediatric;
sevoflurane
- MeSH:
Anesthesia*;
Dihydroergotamine*;
Fentanyl*;
Humans;
Incidence;
Tonsillectomy*
- From:Korean Journal of Anesthesiology
2004;47(3):317-320
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: We designed this study to find the appropriate dose of fentanyl for the prevention of emergence agitation in pediatric tonsillectomy patients under sevoflurane anesthesia. METHODS: Sixty pediatric patients receiving sevoflurane anesthesia for tonsillectomy was assigned to 3 groups. Fentanyl 0.5microgram/kg (group 1), 1.0microgram /kg (group 2), or 1.5microgram/kg (group 3) was administered intravenously 10 min before the end of surgery. Agitation score was checked at the postanesthesia care unit. RESULTS: The results showed a lower incidence of severe agitation in groups 2 and 3 than in group 1. There was no difference between groups 2 and 3. CONCLUSIONS: For preventing emergence agitation after sevoflurane anesthesia, we recommend using fentanyl in a dose of more than 1.0micrgram/kg.